NUR 106 Drugs Study Guide with Questions and Correct Answers
10 views 0 purchase
Course
NUR 106
Institution
NUR 106
Magnesium sulfate anticonvulsant, tocolytic Decreases acetylcholine releases and depresses the cns to act as anticonbulsant, also decreased uterine contractions Used to prevent and contro seizures in preeclampsia and prevention of uterine contractins in preterm labor Counteract pitocin Dosage: iv b...
NUR 106 Drugs Study Guide with
Questions and Correct Answers
Magnesium sulfate ✅anticonvulsant, tocolytic
Decreases acetylcholine releases and depresses the cns to act as anticonbulsant, also
decreased uterine contractions
Used to prevent and contro seizures in preeclampsia and prevention of uterine
contractins in preterm labor
Counteract pitocin
Dosage: iv bolus loading dose(piggyback) of 4 grams over 20 min followed by
continuous infusion of 1-2 gr/hr with infusion pump
Excreted by kidneys
Adverse reactions: flushing, sweating, hypotension, depressed dtr, cns depression,
respiratory depression
Nursing care: monitor p,r,bp, uo,loc,dtr's and heart and breath sounds q1hr
Stop if r<12, up<30ml/hr, absent dtr
Antidote: calcium gluconate
Oxytocin(pitocin, syntocin) ✅oxytocic
Indications: labor induction or augmentation, facillitation of threatened abortion,
postpartum control of bleeding after expulsion of placenta, nasal spary to facilliate milk
let down reflex
Actions: stimulates uterine smooth muscles to contract, let down reflex by breast, has
adh and vasopressor effects
Rapidly metabolized by liver and kidneys, half life only 3-9 min
Contraindications and precautions: hypersenitivity, cpd(celfo-pelvic disportion)
Adverse effects: seizures, coma with iv use, water intoxication, increased bp, tetanic
uterine contractions in labor with decreased blood flow to placenta, abruptio
Antidote: magnesium sulfate(relaxes the uterus)
Route and dosage oxytocin ✅for labor induction/agmentation
1-2 milliunits/min until contractions 2-3 min apart(no more than 5 in 10 min)
Goal: contractions q2-3 min lasting 45-60 sec with at least 30 sec intervals between
each contractions
Stop if contractions exceed 5 in 10 min or last longer than 90 sec or if fetal distress
occurs
Infusion pump always used
Piggyback so can be stopped prn
Monitor contractions and fht
Terbutaline (brethine) ✅adrenergic, tocolytic (unlabeled)
Indication: supress uterine activity, management of preterm labor
Action: beta 2 adrenergic effects to surpress uterine activity, can delay delivery up to 3
days
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller twishfrancis. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.49. You're not tied to anything after your purchase.
